Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME27412 | FL |
Y | 207Q00000X | Family Doctor | ME27412 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME27412 | FL |
NPI | 1346293222 |
---|---|
Provider Name | Donald Blair Geldart |
First Address | Avon Park, FL 33825-2966 |
Second Address | Avon Park, FL 33825-2966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080154893 | RAILROAD MEDICARE (01) | |
28070 | BCBS (01) | FL |
28070E | (02) | FL |
E16457 | (02) |